What is uterine cancer?
Uterine [YOU-tuhr-in] cancer is cancer of the womb or uterus. It usually begins in the lining of the uterus, called the endometrium [ehn-doh-MEE-tree-UM], and is sometimes referred to as endometrial [ehn-doh-MEE-tree-UHL] cancer. Sometimes, cells in the uterus (womb) grow too quickly, clumping together to form a mass called a tumor. When this tumor starts to grow or spread, it is called cancer.
There are two basic types of uterine cancer. Type 1 is the most common and it is slow growing. Type 2 uterine cancer, which is rare, is more aggressive. The stages of uterine cancer are identified by the location of the cancer cells or tumor and how far it has spread in the uterus and the rest of the body. Each of the following stages of uterine cancer also has sub-stages that help determine treatment.
- Stage I. Cancer cells or growth can be found in the uterus but has not spread beyond it.
- Stage II. Cancer has spread outside the uterus but not beyond the pelvis.
- Stage III. Cancer has spread beyond the pelvis but not yet to distant areas of the body. It may or may not be in the lymph [LIMF] nodes.
- Stage IV. Cancer has spread to the bladder, rectum [REK-tum] or other distant organs such as the bones and lungs.
Early detection is key to improving the outcome of uterine cancer. It is the most common type of cancer found in the female reproductive system and the fourth most common cancer diagnosed in women. Uterine cancer is typically diagnosed after menopause [MEN-uh-pawz].
While uterine cancer can’t always be prevented, you can practice some basic lifestyle changes to reduce your risk of developing cancer.
- Maintaining a healthy weight
- Exercise regularly
- Eat a healthy diet
There is some evidence that taking birth control pills or having an IUD can reduce the risk of growths in the lining of the uterus. Hormone therapy is also a risk factor for developing uterine cancer, so it’s recommended that you talk with your doctor or gynecologist before undergoing this treatment for menopause.
Symptoms and Causes
The symptoms of uterine cancer can be easy to spot in post-menopausal [MEN-uh-paw-zuh l] women but may be confused with irregular periods in younger women. These include:
- Unusual bleeding or discharge
- Pain during intercourse
- Pain in the pelvic area
- Trouble urinating
- Changes in bowel or bladder habits
- Feeling of fullness
Diagnosis and Treatment
Diagnosis and Tests
Uterine cancer screening is not a part of the standard Pap test and gynecological [jin-i-kuh-LOJ-ik-al] exams that women receive. If you or your doctor suspect uterine cancer, some additional testing may be recommended including the following:
- Transvaginal [TRANS-vaj-uh-nl] ultrasound
- Endometrial biopsy [BY-op-see]
- Blood tests
- Magnetic resonance imaging (MRI)
- Computed tomography (CT) scan
- Chest x-ray
- Positron emission tomography (PET) scan
The tests your doctor or gynecologist recommend will depend on your age, overall health, symptoms, and other risk factors.